I. Overview
Knee osteoarthritis is a degenerative disease in which primary or secondary degenerative changes occur in the articular cartilage with subchondral bone proliferation, resulting in gradual destruction of the joint as well as deformity and affecting the function of the knee joint. Osteoarthritis of the knee joint belongs to the category of “paralysis”, “bone paralysis” and “knee paralysis” in Chinese medicine, which is considered to be caused by chronic strain, cold, minor trauma or old age and weakness, liver and kidney It is believed that this disease is caused by chronic strain, cold, minor trauma or old age, liver and kidney deficiency and lack of qi and blood.
Diagnostic points
1. Recent knee pain for most of the time.
2. X-rays show bony bones at the edge of the joint.
3, joint fluid examination is consistent with osteoarthritis.
4, age ≥ 40 years.
5, morning stiffness <30 minutes.
6.Bone rattling sound when the joint is moved.
Satisfy 1, 2 or 1, 3, 5, 6 or 1, 4, 5, 6 can diagnose osteoarthritis of the knee joint.
Third, acupuncture point thermal sensitization distribution
The high incidence area is around the knee joint and the lumbar region, mostly in the local pressure pain points, acupuncture points around the affected knee joint, kidney Yu and other areas.
Operation of moxibustion therapy
According to the different thermal sensitization of the above acupuncture points, moxibustion is applied in the following steps: first, 1 minute of rotary moxibustion to warm up the local qi and blood, followed by 1 minute of bird peck moxibustion to strengthen the sensitization, 2 minutes of round-trip moxibustion to stimulate the meridian qi, and then mild moxibustion to activate the sensory transmission and open the meridians.
1. Single point of mild moxibustion at the local pressure point, the patient feels the heat penetrate into the knee joint and spread to the whole knee joint, and moxibustion until the sensory transmission disappears.
2, single point of mild moxibustion around the affected knee joint, the patient feels the heat penetrate into the knee joint and spread to the whole knee joint, moxibustion until the sensation disappears.
If the sensory transmission does not reach the knee joint, take a lit moxa stick and place it at the distal end of the sensory transmission, and then perform gentle moxibustion, and then make the sensory transmission reach the knee joint, and finally fix two moxa sticks on the kidney and knee joints for gentle moxibustion until the sensory transmission disappears.
V. Sensory transmission activities
1, the nature of sensory transmission: mainly warm sensation, but also see soreness, pain (non-moxibustion local), burning (non-moxibustion local), numbness, etc., a few patients can appear cool sensation.
2, the form and path of sensory transmission: the form of sensory transmission is diffusion, deep penetration, conduction along a certain route (there are ants, flowing water and other forms), etc.. For example, moxibustion of the local ayurvedic point and the acupuncture points around the affected knee joint can penetrate deeply into the knee joint and spread in all directions, and moxibustion of the kidney point spreads in all directions and spreads to the knee joint.
Six, test case examples.
Case 1: Zhou, female, 53 years old, worker, visited the clinic on October 27, 2005, complaining of recurrent swelling and pain in the left knee joint for more than a year. One year ago, the patient felt soreness and slight swelling in the left knee joint after an external wind-cold, and the pain was heavier in the morning and relieved after mild activity. The swelling and pain in the left knee joint recurred without attention and was aggravated by cold and exertion, and the pain was relieved by heat and massage. A week ago, the swelling and pain in the left knee joint increased significantly due to exertion and weight-bearing, and the swelling continued, and the pain was felt even at rest, affecting sleep. He came to our hospital for treatment. On examination, the left knee was swollen laterally and a cord-like nodule could be palpated, with obvious pressure pain. Left knee X-ray frontal and lateral radiographs showed that the left tibial intercondylar eminence became pointed, the joint space narrowed, hyperplasia was seen on the anterior superior border of the left patella, the patellofemoral joint space narrowed, and the left tibial rim showed lip-like changes. Diagnosis: Traditional Chinese medicine: bone paralysis (knee paralysis). Western medicine: osteoarthritis of the left knee. After investigation, the left Liangqiu point one inch below and the external knee eye point were explored and acupoints were thermosensitized. The patient felt the heat flow to the deep skin infusion after a few seconds, and after about 5 minutes, he felt the heat flow down to the vicinity of the left Yanglingquan point, so he quickly applied moxibustion at the left Yanglingquan point, and immediately felt the heat flow deep into the skin, and after a few seconds, he felt the deep heat flow rapidly down the lateral calf to the lateral condyle and the back of the foot, and the patient felt that the heat in the outer ankle was greater than that at the place of moxibustion, and after 50 minutes of moxibustion, the patient complained that the heat sensation in the calf The patient felt that the heat in the outer ankle was greater than that in the moxibustion area, and after 50 minutes, the patient complained that the heat in the lower leg became shorter and retracted to the left Yanglingquan point at 60 minutes, and still felt heat in the deep part of the skin. After moxibustion, the pain in the left knee joint was reduced, and sleep was not affected that day. After five times of treatment according to the above treatment plan, the patient did not feel pain when walking on flat ground and the swelling of the knee joint was significantly reduced, and only slightly felt the soreness of the left knee joint when going up and down the stairs, and slightly felt difficulty in squatting. The patient continued to be treated for ten times according to the original regimen and had no significant discomfort when walking on the left knee.